Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE MEADOWS SCHOOL
Employer identification number
94-2795420
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE E(Form 990 or 990-EZ) Department of the TreasuryInternal Revenue Service
SchoolsComplete if the organization answered "Yes" to Form 990, Part IV, line 13,or Form 990-EZ, Part VI, line 48. Attach to Form 990 or Form 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE MEADOWS SCHOOL
Employer identification number
94-2795420
Part I
YES
NO
1
Does the organization have a racially nondiscriminatory policy toward students by statement in its charter, bylaws,
other governing instrument, or in a resolution of its governing body?
......................
1
Yes
2
Does the organization include a statement of its racially nondiscriminatory policy toward students in all its
brochures, catalogues, and other written communications with the public dealing with student admissions,
programs, and scholarships?
......................................
2
Yes
3
Has the organization publicized its racially nondiscriminatory policy through newspaper or broadcast media during
the period of solicitation for students, or during the registration period if it has no solicitation program, in a way
that makes the policy known to all parts of the general community it serves? If "Yes," please describe. If "No,"
please explain. If you need more space use Part II.
.............................
3
Yes
4
Does the organization maintain the following?
a
Records indicating the racial composition of the student body, faculty, and administrative staff?
..........
4a
Yes
b
Records documenting that scholarships and other financial assistance are awarded on a racially nondiscriminatory
Other extracurricular activities?
.....................................
5h
No
If you answered "Yes" to any of the above, please explain. If you need more space, use Part II.
6a
Does the organization receive any financial aid or assistance from a governmental agency?
...........
6a
No
b
Has the organization's right to such aid ever been revoked or suspended?
...................
6b
No
If you answered "Yes" to either line 6a or line 6b, explain on Part II.
7
Does the organization certify that it has complied with the applicable requirements of sections 4.01 through 4.05
of Rev. Proc. 75-50, 1975-2 C.B. 587, covering racial nondiscrimination? If "No," explain on Part II.
7
Yes
Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50085D
Schedule E (Form 990 or 990-EZ) 2012
Schedule E (Form 990 or 990EZ) 2012
Page 2
Part II
Supplemental Information. Complete this part to provide the explanations required by Part I, lines 3, 4d, 5h, 6b, and 7, as applicable. Also complete this part to provide any other additional information (see instructions).
Identifier
Return Reference
Explanation
NONDISCRIMINATORY POLICY
FORM 990, SCHEDULE E, PART I, QUESTION 3
THE MEADOWS SCHOOL ADMITS STUDENTS OF ANY RACE, COLOR, RELIGION, SEX, OR NATIONAL ORIGIN TO ALL PROGRAMS AND ACTIVITIES. THE SCHOOL PRACTICES FAIRNESS IN THE ADMINISTRATION OF ITS EDUCATIONAL POLICIES, ATHLETICS, HIRING PROCEDURES AND OTHER SCHOOL ADMINISTERED PROGRAMS.
Schedule E (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
THE MEADOWS SCHOOL
Employer identification number
94-2795420
Identifier
Return Reference
Explanation
COMPENSATION DETERMINATION PROCESS FOR CEO, OFFICERS, AND KEY EMPLOYEES
FORM 990 PART VI, SECTION B, QUESTION 15
SALARY AND BENEFITS FOR OFFICERS AND KEY EMPLOYEES IS APPROVED BY THE RELATED BOARD COMMITTEE. NO SALARY WAS PAID TO THE CHAIRMAN FOR THE YEAR ENDED JUNE 30, 2013.
AVAILABILITY OF DOCUMENTS, FINANCIAL STATEMENTS, AND POLICIES TO PUBLIC
FORM 990 PART VI, SECTION C, QUESTION 19
THE MEADOWS SCHOOL DOES NOT GENERALLY MAKE GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
REVIEW BY ALL MEMBERS OF GOVERNING BODY
FORM 990, PART VI, SECTION B, LINE 11A
A REVIEW OF THE FORM 990 IS PERFORMED BY THE DIRECTOR OF FINANCE, HEAD OF SCHOOL, AND DIRECTOR OF MIDDLE SCHOOL.
RECONCILIATION OF NET ASSETS
FORM 990 PART XI, LINE 5 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES
BOOK TAX DIFFERENCE DEPRECIATION 32,224 50% NONDEDUCTIBLE MEALS & ENT. (3,735) --------- TOTAL LINE 10 28,489
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, ETC.
FORM 990, PART VII, SECTION A
MANY OF THE BOARD OF TRUSTEE POSITIONS ARE HELD BY COUPLES. EACH TRUSTEE POSITION THAT IS HELD BY A COUPLE ONLY HAS ONE VOTE WITH THE BOARD. IN TOTAL THERE ARE 14 TRUSTEES.
FAMILY RELATIONSHIPS
FORM 990, PART VI, SECTION A, QUESTION 2
RICHARD AND PATRICIA TRUESDELL HAVE A FAMILY RELATIONSHIP IKE AND MICHELLE EPSTEIN HAVE A FAMILY RELATIONSHIP DOUGLAS AND CARRIE HERNDON HAVE A FAMILY RELATIONSHIP MICHAEL AND EMILY NOVICK HAVE A FAMILY RELATIONSHIP ROLAND TERRIE STURM HAVE A FAMILY RELATIONSHIP DONALD BUCHANAN AND JANET KOFKIN HAVE A FAMILY RELATIONSHIP VICTOR ONUFRIEFF AND LAUREL ANDREW HAVE A FAMILY RELATIONSHIP DUNCAN AND IRENE LEE HAVE A FAMILY RELATIONSHIP DAVID AND HEIDI STRAUS HAVE A FAMILY RELATIONSHIP GIRISH AND VRUSHALI DAULAT HAVE A FAMILY RELATIONSHIP TED AND BLAKE FECHSER HAVE A FAMILY RELATIONSHIP ARCHIBALD AND DIANE RUFTY HAVE A FAMILY RELATIONSHIP
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:REPAIRS & MAINTENANCE TOTAL EXPENSES:710551 PROGRAM SERVICES:72413 MANAGEMENT AND GENERAL:638138
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:TUITION DISCOUNTS TOTAL EXPENSES:289503 PROGRAM SERVICES:289503
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:PUBLICATIONS TOTAL EXPENSES:125933 PROGRAM SERVICES:62033 FUNDRAISING:63900
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SUPPLIES TOTAL EXPENSES:49861 MANAGEMENT AND GENERAL:41792 FUNDRAISING:8069
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:ANNUAL FUND TOTAL EXPENSES:20973 FUNDRAISING:20973
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:AWARDS TOTAL EXPENSES:25799 PROGRAM SERVICES:25799
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:UNCOLLECTIBLE RECEIVABLES TOTAL EXPENSES:153816 FUNDRAISING:153816
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:BANK FEES TOTAL EXPENSES:5146 MANAGEMENT AND GENERAL:5146
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:BOARD OF TRUSTEES TOTAL EXPENSES:34847 MANAGEMENT AND GENERAL:34847
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:TUITION CREDITS TOTAL EXPENSES:111440 PROGRAM SERVICES:111440
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:DUES TOTAL EXPENSES:1436 FUNDRAISING:1436
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SCHOOL EVENTS TOTAL EXPENSES:21471 FUNDRAISING:21471
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:FOOD SERVICE TOTAL EXPENSES:18866 PROGRAM SERVICES:18866
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:FUEL TOTAL EXPENSES:41583 PROGRAM SERVICES:41583
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:MEALS & ENTERTAINMENT (50%) TOTAL EXPENSES:3733 PROGRAM SERVICES:3381 MANAGEMENT AND GENERAL:352
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:ACCREDITATION DUES TOTAL EXPENSES:34681 MANAGEMENT AND GENERAL:34681
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:OTHER TOTAL EXPENSES:1928 FUNDRAISING:1928
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:POSTAGE / SHIPPING TOTAL EXPENSES:19853 MANAGEMENT AND GENERAL:19853
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:RECRUITING TOTAL EXPENSES:49144 PROGRAM SERVICES:49144
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:REGISTRATIONS TOTAL EXPENSES:9729 PROGRAM SERVICES:9729
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:RELOCATION TOTAL EXPENSES:314 PROGRAM SERVICES:314
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:PROFESSIONAL DEVELOPMENT TOTAL EXPENSES:31930 PROGRAM SERVICES:14827 MANAGEMENT AND GENERAL:17103
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SECURITY TOTAL EXPENSES:285155 MANAGEMENT AND GENERAL:285155
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:SMALLWARES TOTAL EXPENSES:2633 PROGRAM SERVICES:2633
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:TEACHER ACTIVITIES TOTAL EXPENSES:49529 MANAGEMENT AND GENERAL:49529
OTHER EXPENSES
FORM 990 PART IX
DESCRIPTION:TESTING TOTAL EXPENSES:48057 PROGRAM SERVICES:48057
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.